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报告一例巨大视网膜母细胞瘤,经直线加速器治疗,肿瘤消退,眼球萎缩,全身衰竭死亡。患儿男,3岁3个月,汉族,山西籍。生后5个月右眼外斜,不能视物,2岁10个月时右眼球突出,长一暗红色肿物,肿物生长速度快,常破溃、流血,伴有恶臭。曾在当地医院输液治疗,用药不详。1994年10月31日来我院就诊,以右眼视网膜母细胞瘤(眼外期)收住院。查体:发育正常,营养好,右耳前可触及一个肿大淋巴结,1cm×2cm大小,质硬,无压痛,基底不移动。心、肺、腹部检查未见异常。眼科检查:右眼眶饱满,上、下眼睑外翻,结膜充血水肿,眼球结构无法辩认,一个巨大棕褐色肿物由睑裂脱出,垂及前胸,8cm×10cm×15cm大小,呈不规则椭圆形,
Report a case of giant retinoblastoma, the linear accelerator treatment, tumor regression, atrophy of the eye, systemic failure of death. Children male, 3 years old and 3 months, Han nationality, Shanxi nationality. 5 months after birth right eye diagonal, can not be seen, 2-year-old 10 months when the right eye, a dark red tumor, tumor growth speed, often ulcerated, bleeding, accompanied by stench. In the local hospital infusion treatment, medication unknown. October 31, 1994 came to our hospital for treatment, to the right eye retinoblastoma (extraocular phase) admitted to hospital. Physical examination: normal development, good nutrition, right ear can touch a swollen lymph nodes, 1cm × 2cm size, hard, no tenderness, the base does not move. Heart, lung, abdominal examination showed no abnormalities. Eye examination: right orbital full, upper and lower eyelid eversion, conjunctival congestion and edema, eye structure can not be identified, a huge tan tumor from the blepharophimosis, vertical and chest, 8cm × 10cm × 15cm size, irregular Oval,